Individual
OTONIEL CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7515 FALCON CREST DR # 200, REDMOND, OR 97756-5014
(904) 541-5216
Mailing address
7515 FALCON CREST DR # 200, REDMOND, OR 97756-5014
(541) 904-5216
(541) 527-4347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C10144
OR
Other
Enumeration date
03/31/2016
Last updated
11/05/2025
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